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    • 2. 发明授权
    • Device and method for monitoring cardiac pacing rate
    • 监测心脏起搏率的装置和方法
    • US07894900B2
    • 2011-02-22
    • US11847430
    • 2007-08-30
    • Andres KinkMart MinnToomas ParveIndrek Rätsep
    • Andres KinkMart MinnToomas ParveIndrek Rätsep
    • A61B5/08A61N1/08A61N1/365
    • A61N1/36514A61B5/029A61B5/0295A61B5/053A61N1/36521A61N1/36585
    • A device for monitoring cardiac pacing rate having a measuring unit for receiving an electrical signal representing the patient's cardiac demand, and a computing unit for determining the myocardial energy balance by calculating energy consumed by the myocardium for both an external dynamic work for pumping blood into a vascular system, and an internal static work of the myocardium. Volume and time based measurements are used, and in one embodiment, volumes are estimated and volume ratios are calculated from volume estimates. In another embodiment, volumes are estimated from bioimpedance measurements. A further aspect is a rate adaptive pacemaker, wherein the maximum pacing rate is determined from the myocardial energy balance such that the energy supplied to the myocardium approximately equals the energy consumed by the myocardium for both an external dynamic work for pumping blood into a vascular system and an internal static work of the myocardium.
    • 一种用于监测心脏起搏速率的装置,具有用于接收代表患者心脏需求的电信号的测量单元,以及计算单元,用于通过计算用于将血液抽入血液的外部动力学工作来计算心肌消耗的能量来确定心肌能量平衡 血管系统和心肌的内部静态工作。 使用基于体积和时间的测量,并且在一个实施例中,估计体积,并且根据体积估计计算体积比。 在另一个实施例中,通过生物阻抗测量估计体积。 另一方面是速率自适应起搏器,其中最大起搏速率是根据心肌能量平衡来确定的,使得提供给心肌的能量大致等于心肌消耗的能量,用于将血液泵入血管系统的外部动力学工作 和心肌的内部静电作业。